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<?xml version="1.0" encoding="UTF-8"?>
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<title>ACCESS Alignment API Capability Statement - XML Representation - CMS ACCESS Model API v0.9.1</title>
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<h2 id="root">: ACCESS Alignment API Capability Statement - XML Representation</h2>
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Active
as of 2026-01-23
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<p><a href="CapabilityStatement-ACCESSAlignmentAPICapabilityStatement.xml" no-download="true">Raw xml</a> | <a href="CapabilityStatement-ACCESSAlignmentAPICapabilityStatement.xml" download>Download</a></p>
<!-- insert intro if present -->
<pre class="xml" data-fhir="generated" style="white-space: pre; text-wrap: nowrap; width: auto;"><code class="language-xml" style="white-space: pre; text-wrap: nowrap;">
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement">CapabilityStatement</a> xmlns="http://hl7.org/fhir">
<<a href="http://hl7.org/fhir/R4/resource.html#CapabilityStatement.id">id</a> <a href="http://hl7.org/fhir/R4/datatypes.html#string">value</a>="ACCESSAlignmentAPICapabilityStatement"/>
<<a href="http://hl7.org/fhir/R4/domainresource.html#CapabilityStatement.text">text</a>>
<<a href="http://hl7.org/fhir/R4/datatypes.html#Narrative#Narrative.status">status</a> <a href="http://hl7.org/fhir/R4/datatypes.html#code">value</a>="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: CapabilityStatement ACCESSAlignmentAPICapabilityStatement</b></p><a name="ACCESSAlignmentAPICapabilityStatement"> </a><a name="hcACCESSAlignmentAPICapabilityStatement"> </a><h2 id="title">ACCESS Alignment API Capability Statement</h2><ul><li>Implementation Guide Version: 0.9.1 </li><li>FHIR Version: 4.0.1 </li><li>Supported Formats: <code>json</code>, <code>xml</code></li><li>Published on: 2026-01-23 </li><li>Published by: Global Alliant, Inc. </li></ul><blockquote class="impl-note"><p><strong>Note to Implementers: FHIR Capabilities</strong></p><p>Any FHIR capability may be 'allowed' by the system unless explicitly marked as 'SHALL NOT'. A few items are marked as MAY in the Implementation Guide to highlight their potential relevance to the use case.</p></blockquote><h3 id="shallIGs">SHALL Support the Following Implementation Guides</h3><ul><li><a href="index.html">https://dsacms.github.io/cmmi-access-model/ImplementationGuide/cms.fhir.us.access</a></li></ul><h2 id="rest">FHIR RESTful Capabilities</h2><div class="panel panel-default"><div class="panel-heading"><h3 id="mode1" class="panel-title">Mode: <code>server</code></h3></div><div class="panel-body"><div><p>The ACCESS Alignment API supports aligning patients to ACCESS participants for specific tracks (eCKM, CKM, MSK, BH).</p>
</div><div class="lead"><em>Security</em></div><div class="row"><div class="col-lg-6">Enable CORS: yes</div><div class="col-lg-6">Security services supported: </div></div><blockquote><div><p>Implementations SHALL use TLS 1.3 and implement OAuth 2.0 Client Credentials flow for authentication. MBI and other PHI must be protected according to HIPAA requirements.</p>
</div></blockquote></div></div><h3 id="resourcesCap1">Capabilities by Resource/Profile</h3><h4 id="resourcesSummary1">Summary</h4><p>The summary table lists the resources that are part of this configuration, and for each resource it lists:</p><ul><li>The relevant profiles (if any)</li><li>The interactions supported by each resource (<b><span class="bg-info">R</span></b>ead, <b><span class="bg-info">S</span></b>earch, <b><span class="bg-info">U</span></b>pdate, and <b><span class="bg-info">C</span></b>reate, are always shown, while <b><span class="bg-info">VR</span></b>ead, <b><span class="bg-info">P</span></b>atch, <b><span class="bg-info">D</span></b>elete, <b><span class="bg-info">H</span></b>istory on <b><span class="bg-info">I</span></b>nstance, or <b><span class="bg-info">H</span></b>istory on <b><span class="bg-info">T</span></b>ype are only present if at least one of the resources has support for them.</li><li><span>The required, recommended, and some optional search parameters (if any). </span></li><li>The linked resources enabled for <code>_include</code></li><li>The other resources enabled for <code>_revinclude</code></li><li>The operations on the resource (if any)</li></ul><div class="table-responsive"><table class="table table-condensed table-hover"><thead><tr><th><b>Resource Type</b></th><th><b>Profile</b></th><th class="text-center"><b title="GET a resource (read interaction)">R</b></th><th class="text-center"><b title="GET all set of resources of the type (search interaction)">S</b></th><th class="text-center"><b title="PUT a new resource version (update interaction)">U</b></th><th class="text-center"><b title="POST a new resource (create interaction)">C</b></th><th><b title="Required and recommended search parameters">Searches</b></th><th><code><b>_include</b></code></th><th><code><b>_revinclude</b></code></th><th><b>Operations</b></th></tr></thead><tbody><tr><td><a href="#Patient1-1">Patient</a></td><td> </td><td class="text-center"/><td class="text-center"/><td class="text-center"/><td class="text-center"/><td/><td/><td/><td><code>$align</code>, <code>$submission-status</code></td></tr></tbody></table></div><hr/><div class="panel panel-default"><div class="panel-heading"><h4 id="Patient1-1" class="panel-title"><span style="float: right;">Resource Conformance: supported </span>Patient</h4></div><div class="panel-body"><div class="container"><div class="row"><div class="col-lg-4"><span class="lead">Core FHIR Resource</span><br/><a href="http://hl7.org/fhir/R4/patient.html">Patient</a></div><div class="col-lg-4"><span class="lead">Reference Policy</span><br/></div><div class="col-lg-4"><span class="lead">Interaction summary</span><br/><ul/></div></div><p/><p/><div class="row"><div class="col-12"><span class="lead">Documentation</span><blockquote><div><p>Patient resource for ACCESS alignment operations</p>
</div></blockquote></div></div><div class="row"><div class="col-12"><span class="lead">Extended Operations</span><table class="table table-condensed table-hover"><thead><tr><th>Conformance</th><th>Operation</th><th>Documentation</th></tr></thead><tbody><tr><td><b>SHALL</b></td><td><a href="OperationDefinition-Align.html">$align</a></td><td><div><p>Align a patient to an ACCESS participant for a specific track. Requires at least one Condition resource. Enforces 3-month lock-in period. Supports provider switching with switchConsentAttestation parameter after lock-in expires. Automatically creates notification subscriptions upon successful alignment. Returns alignment status from ACCESSAlignmentResultVS: aligned, aligned-switch-approved, not-aligned-control-group, not-aligned-already-aligned, not-aligned-not-medicare, not-aligned-services, or not-aligned-diagnoses. Implements asynchronous processing with HTTP 202 Accepted response containing Content-Location header for status polling.</p>
</div></td></tr><tr><td><b>SHALL</b></td><td><a href="OperationDefinition-SubmissionStatus.html">$submission-status</a></td><td><div><p>Poll the status of a previously submitted alignment request. Returns HTTP 202 while processing or HTTP 200 with result when complete.</p>
</div></td></tr></tbody></table></div></div></div></div></div></div><a name="end-xhtml"></a>
</<a href="http://hl7.org/fhir/R4/domainresource.html#CapabilityStatement.text">text</a>>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.url">url</a>
<a href="http://hl7.org/fhir/R4/datatypes.html#uri">value</a>="https://dsacms.github.io/cmmi-access-model/CapabilityStatement/ACCESSAlignmentAPICapabilityStatement"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.version">version</a> <a href="http://hl7.org/fhir/R4/datatypes.html#string">value</a>="0.9.1"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.name">name</a> <a href="http://hl7.org/fhir/R4/datatypes.html#string">value</a>="ACCESSAlignmentAPICapabilityStatement"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.title">title</a> <a href="http://hl7.org/fhir/R4/datatypes.html#string">value</a>="ACCESS Alignment API Capability Statement"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.status">status</a> <a href="http://hl7.org/fhir/R4/datatypes.html#code">value</a>="active"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.experimental">experimental</a> <a href="http://hl7.org/fhir/R4/datatypes.html#boolean">value</a>="false"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.date">date</a> <a href="http://hl7.org/fhir/R4/datatypes.html#dateTime">value</a>="2026-01-23"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.publisher">publisher</a> <a href="http://hl7.org/fhir/R4/datatypes.html#string">value</a>="Global Alliant, Inc."/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.contact">contact</a>>
<<a href="http://hl7.org/fhir/R4/metadatatypes.html#ContactDetail#ContactDetail.name">name</a> <a href="http://hl7.org/fhir/R4/datatypes.html#string">value</a>="Global Alliant, Inc."/>
<<a href="http://hl7.org/fhir/R4/metadatatypes.html#ContactDetail#ContactDetail.telecom">telecom</a>>
<<a href="http://hl7.org/fhir/R4/datatypes.html#ContactPoint#ContactPoint.system">system</a> <a href="http://hl7.org/fhir/R4/datatypes.html#code">value</a>="url"/>
<<a href="http://hl7.org/fhir/R4/datatypes.html#ContactPoint#ContactPoint.value">value</a> <a href="http://hl7.org/fhir/R4/datatypes.html#string">value</a>="https://globalalliantinc.com"/>
</<a href="http://hl7.org/fhir/R4/metadatatypes.html#ContactDetail#ContactDetail.telecom">telecom</a>>
<<a href="http://hl7.org/fhir/R4/metadatatypes.html#ContactDetail#ContactDetail.telecom">telecom</a>>
<<a href="http://hl7.org/fhir/R4/datatypes.html#ContactPoint#ContactPoint.system">system</a> <a href="http://hl7.org/fhir/R4/datatypes.html#code">value</a>="email"/>
<<a href="http://hl7.org/fhir/R4/datatypes.html#ContactPoint#ContactPoint.value">value</a> <a href="http://hl7.org/fhir/R4/datatypes.html#string">value</a>="david.h@globalalliantinc.org"/>
</<a href="http://hl7.org/fhir/R4/metadatatypes.html#ContactDetail#ContactDetail.telecom">telecom</a>>
</<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.contact">contact</a>>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.description">description</a>
<a href="http://hl7.org/fhir/R4/datatypes.html#markdown">value</a>="Describes the expected capabilities of systems implementing the ACCESS Alignment API for aligning patients to ACCESS participants."/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.jurisdiction">jurisdiction</a>>
<<a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept#CodeableConcept.coding">coding</a>>
<<a href="http://hl7.org/fhir/R4/datatypes.html#Coding#Coding.system">system</a> <a href="http://hl7.org/fhir/R4/datatypes.html#uri">value</a>="urn:iso:std:iso:3166"/>
<<a href="http://hl7.org/fhir/R4/datatypes.html#Coding#Coding.code">code</a> <a href="http://hl7.org/fhir/R4/datatypes.html#code">value</a>="US"/>
<<a href="http://hl7.org/fhir/R4/datatypes.html#Coding#Coding.display">display</a> <a href="http://hl7.org/fhir/R4/datatypes.html#string">value</a>="United States of America"/>
</<a href="http://hl7.org/fhir/R4/datatypes.html#CodeableConcept#CodeableConcept.coding">coding</a>>
</<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.jurisdiction">jurisdiction</a>>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.kind">kind</a> <a href="http://hl7.org/fhir/R4/datatypes.html#code">value</a>="requirements"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.fhirVersion">fhirVersion</a> <a href="http://hl7.org/fhir/R4/datatypes.html#code">value</a>="4.0.1"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.format">format</a> <a href="http://hl7.org/fhir/R4/datatypes.html#code">value</a>="json"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.format">format</a> <a href="http://hl7.org/fhir/R4/datatypes.html#code">value</a>="xml"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.implementationGuide">implementationGuide</a>
<a href="http://hl7.org/fhir/R4/datatypes.html#canonical">value</a>="https://dsacms.github.io/cmmi-access-model/ImplementationGuide/cms.fhir.us.access"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest">rest</a>>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.mode">mode</a> <a href="http://hl7.org/fhir/R4/datatypes.html#code">value</a>="server"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.documentation">documentation</a>
<a href="http://hl7.org/fhir/R4/datatypes.html#markdown">value</a>="The ACCESS Alignment API supports aligning patients to ACCESS participants for specific tracks (eCKM, CKM, MSK, BH)."/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.security">security</a>>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.security.cors">cors</a> <a href="http://hl7.org/fhir/R4/datatypes.html#boolean">value</a>="true"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.security.description">description</a>
<a href="http://hl7.org/fhir/R4/datatypes.html#markdown">value</a>="Implementations SHALL use TLS 1.3 and implement OAuth 2.0 Client Credentials flow for authentication. MBI and other PHI must be protected according to HIPAA requirements."/>
</<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.security">security</a>>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.resource">resource</a>>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.resource.type">type</a> <a href="http://hl7.org/fhir/R4/datatypes.html#code">value</a>="Patient"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.resource.documentation">documentation</a>
<a href="http://hl7.org/fhir/R4/datatypes.html#markdown">value</a>="Patient resource for ACCESS alignment operations"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.resource.operation">operation</a>>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.resource.operation.name">name</a> <a href="http://hl7.org/fhir/R4/datatypes.html#string">value</a>="align"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.resource.operation.definition">definition</a>
<a href="http://hl7.org/fhir/R4/datatypes.html#canonical">value</a>="https://dsacms.github.io/cmmi-access-model/OperationDefinition/Align|0.9.1"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.resource.operation.documentation">documentation</a>
<a href="http://hl7.org/fhir/R4/datatypes.html#markdown">value</a>="Align a patient to an ACCESS participant for a specific track. Requires at least one Condition resource. Enforces 3-month lock-in period. Supports provider switching with switchConsentAttestation parameter after lock-in expires. Automatically creates notification subscriptions upon successful alignment. Returns alignment status from ACCESSAlignmentResultVS: aligned, aligned-switch-approved, not-aligned-control-group, not-aligned-already-aligned, not-aligned-not-medicare, not-aligned-services, or not-aligned-diagnoses. Implements asynchronous processing with HTTP 202 Accepted response containing Content-Location header for status polling."/>
</<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.resource.operation">operation</a>>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.resource.operation">operation</a>>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.resource.operation.name">name</a> <a href="http://hl7.org/fhir/R4/datatypes.html#string">value</a>="submission-status"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.resource.operation.definition">definition</a>
<a href="http://hl7.org/fhir/R4/datatypes.html#canonical">value</a>="https://dsacms.github.io/cmmi-access-model/OperationDefinition/SubmissionStatus|0.9.1"/>
<<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.resource.operation.documentation">documentation</a>
<a href="http://hl7.org/fhir/R4/datatypes.html#markdown">value</a>="Poll the status of a previously submitted alignment request. Returns HTTP 202 while processing or HTTP 200 with result when complete."/>
</<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.resource.operation">operation</a>>
</<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest.resource">resource</a>>
</<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement.rest">rest</a>>
</<a href="http://hl7.org/fhir/R4/capabilitystatement.html#CapabilityStatement">CapabilityStatement</a>></code></pre>
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